Architecture Practice Exam Study Guide

A nurse is caring for a client with a chest tube. Which finding requires immediate intervention?

Continuous bubbling in the water seal chamber Fluctuation of the fluid in the water seal chamber with respirations Drainage of 50 mL of serosanguinous fluid in 2 hours Presence of an occlusive dressing over the insertion site

Correct Answer:

Continuous bubbling in the water seal chamber

Explanation:

Continuous bubbling in the water seal chamber usually indicates an air leak in the system, which requires immediate investigation and correction.

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